Photo of Rose Arnold, Psychotherapist, MBACP Accred
Rose Arnold
Psychotherapist, MBACP Accred
I understand how important it is to find a therapist you feel comfortable with, especially at a time when you may be feeling stuck or alone, dealing with a particular issue, or feeling more generally overwhelmed? I offer a warm, compassionate, confidential and non-judgemental approach; a place to offload, perhaps find simple coping strategies, fresh insight, and the greater sense of balance or peace of mind you may seek.
I understand how important it is to find a therapist you feel comfortable with, especially at a time when you may be feeling stuck or alone, dealing with a particular issue, or feeling more generally overwhelmed? I offer a warm, compassionate, confidential and non-judgemental approach; a place to offload, perhaps find simple coping strategies, fresh insight, and the greater sense of balance or peace of mind you may seek.
07984 290514 View 07984 290514
Photo of Dr Kate Rose, Psychologist, PsychD, HCPC - Clin. Psych.
Dr Kate Rose
Psychologist, PsychD, HCPC - Clin. Psych.
I help people to overcome their past, so that they can embrace their future. So often, the things we are struggling with in life, can be linked back to our early life experiences or difficult life events, which can have a huge impact on how we feel about ourselves, our relationships with others and our overall well being. My goal is to help my clients understand and make sense of their past experiences and explore how their current difficulties may fit into this. I help them to learn new skills and break old patterns so that they can reclaim the life that they want.
I help people to overcome their past, so that they can embrace their future. So often, the things we are struggling with in life, can be linked back to our early life experiences or difficult life events, which can have a huge impact on how we feel about ourselves, our relationships with others and our overall well being. My goal is to help my clients understand and make sense of their past experiences and explore how their current difficulties may fit into this. I help them to learn new skills and break old patterns so that they can reclaim the life that they want.
01829 701714 View 01829 701714
Photo of Amanda Jane Cassidy, Psychotherapist, MBABCP
Amanda Jane Cassidy
Psychotherapist, MBABCP
Not accepting new clients
I enjoy working with clients, building a collaborative therapeutic relationship which supports a mutual understanding of their presenting difficulties. My role also helps to increase the client knowledge of evidence-based CBT strategies or EMDR to support beneficial change and reaching the clients identified goals. I draw upon my experiences of working as a cognitive behavioural therapist and mental health nurse, providing a safe, compassionate, and non-judgemental environment where clients can talk openly and access the support they are seeking.
I enjoy working with clients, building a collaborative therapeutic relationship which supports a mutual understanding of their presenting difficulties. My role also helps to increase the client knowledge of evidence-based CBT strategies or EMDR to support beneficial change and reaching the clients identified goals. I draw upon my experiences of working as a cognitive behavioural therapist and mental health nurse, providing a safe, compassionate, and non-judgemental environment where clients can talk openly and access the support they are seeking.
01829 700799 View 01829 700799
Photo of Helen Allen, Counsellor, DCounsPsych, MNCPS Acc.
Helen Allen
Counsellor, DCounsPsych, MNCPS Acc.
 Hi, I’m Helen, I offer an open and inclusive space to over-thinkers and high achievers, whether they’re individuals or couples. Those with the feeling that whilst life might (or might not!) look good, something is missing. Most of my clients come to me feeling one of the emotions below: A loss of sense of who you are – or not feeling seen or heard. Stress, anxiety, overthinking and loss of connection. Loneliness and a feeling like you’re not valued anymore. Feeling so overwhelmed with responsibilities that you can no longer find happiness Curious about how you can improve or refresh your relationship.
 Hi, I’m Helen, I offer an open and inclusive space to over-thinkers and high achievers, whether they’re individuals or couples. Those with the feeling that whilst life might (or might not!) look good, something is missing. Most of my clients come to me feeling one of the emotions below: A loss of sense of who you are – or not feeling seen or heard. Stress, anxiety, overthinking and loss of connection. Loneliness and a feeling like you’re not valued anymore. Feeling so overwhelmed with responsibilities that you can no longer find happiness Curious about how you can improve or refresh your relationship.
0151 453 1909 View 0151 453 1909
Photo of Andrew Cowlin - Newid Integrated Counselling & Psychotherapy, Counsellor, MBACP
Newid Integrated Counselling & Psychotherapy
Counsellor, MBACP
2 Endorsed
Serves Area
Newid pronounced "Nowed" is Welsh for change. I chose this name not only to reflect my heritage but also to reflect that change is the only constant in life. We all travel with it, yet all our experiences can be profoundly different. I believe that counselling is a collaborative process in which we work together on what you want to change or explore in a safe non-judgemental environment. I offer an integrative approach where we work side-by-side to understand your past and help you discover new ways of coping and moving forward. I recognise that courage is not fearless and making the 1st step can be challenging in it's self.
Newid pronounced "Nowed" is Welsh for change. I chose this name not only to reflect my heritage but also to reflect that change is the only constant in life. We all travel with it, yet all our experiences can be profoundly different. I believe that counselling is a collaborative process in which we work together on what you want to change or explore in a safe non-judgemental environment. I offer an integrative approach where we work side-by-side to understand your past and help you discover new ways of coping and moving forward. I recognise that courage is not fearless and making the 1st step can be challenging in it's self.
01884 219224 View 01884 219224
Photo of Pauline Earle - Between You and Me Integrative Therapy, Psychotherapist, MBACP Snr. Accred
Between You and Me Integrative Therapy
Psychotherapist, MBACP Snr. Accred
Serves Area
Reaching out can be hard. Are you feeling overwhelmed? struggling to cope with your situation? your emotions? your experiences? If your trust has been damaged, talking to someone who will take time to understand you can be a huge relief. Perhaps you need support through a crisis or you are at the end of your tether with multiple stresses. Even if you have longterm issues that seem stuck, talking to someone can make a difference. You may gain insight into the roots of your difficulties and find qualities in yourself that have never had a chance to develop. The aim is to help you live a more rewarding life.
Reaching out can be hard. Are you feeling overwhelmed? struggling to cope with your situation? your emotions? your experiences? If your trust has been damaged, talking to someone who will take time to understand you can be a huge relief. Perhaps you need support through a crisis or you are at the end of your tether with multiple stresses. Even if you have longterm issues that seem stuck, talking to someone can make a difference. You may gain insight into the roots of your difficulties and find qualities in yourself that have never had a chance to develop. The aim is to help you live a more rewarding life.
01392 549093 View 01392 549093
Photo of Nigel Cadman, Psychotherapist, MSc, MBACP
Nigel Cadman
Psychotherapist, MSc, MBACP
Serves Area
I work in a person-centred manner which means that I value building a positive relationship with clients; working to create a safe and comfortable therapeutic environment. This means that I want you to feel able to talk and express yourself about anything that may be troubling you. We talk about whatever you chose, and you can do so without fear of judgement. This enables you to become more comfortable with things as you discuss your thoughts freely, giving you an opportunity to consider things from different perspectives and over time building your confidence to explore different options and possibilities that are open to you.
I work in a person-centred manner which means that I value building a positive relationship with clients; working to create a safe and comfortable therapeutic environment. This means that I want you to feel able to talk and express yourself about anything that may be troubling you. We talk about whatever you chose, and you can do so without fear of judgement. This enables you to become more comfortable with things as you discuss your thoughts freely, giving you an opportunity to consider things from different perspectives and over time building your confidence to explore different options and possibilities that are open to you.
01270 433834 View 01270 433834
Photo of Lesley Ann Greenwood, Psychologist, MSc, GMBPsS
Lesley Ann Greenwood
Psychologist, MSc, GMBPsS
Serves Area
We all need to talk to someone at times, right now life is extremely difficult for many of us! Talking issues through is often the best way to deal with our conflicting emotions. I specialise in depression, anxiety, ​and weight management, along with mid-life transitions and relationship counseling. I believe talking to someone totally unconnected to the problem can help clients see their situation through fresh eyes. I use a combination of therapies to help clients restructure their lives and issues. I am based in a private location in South Cheshire. I also have clients based around the globe via video. Discretion is paramount!
We all need to talk to someone at times, right now life is extremely difficult for many of us! Talking issues through is often the best way to deal with our conflicting emotions. I specialise in depression, anxiety, ​and weight management, along with mid-life transitions and relationship counseling. I believe talking to someone totally unconnected to the problem can help clients see their situation through fresh eyes. I use a combination of therapies to help clients restructure their lives and issues. I am based in a private location in South Cheshire. I also have clients based around the globe via video. Discretion is paramount!
07449 891922 View 07449 891922
Photo of Dr Helen Pickering, Psychologist, PsychD, HCPC - Clin. Psych.
Dr Helen Pickering
Psychologist, PsychD, HCPC - Clin. Psych.
1 Endorsed
Serves Area
I am a clinical psychologist and CAT practitioner with over 21 years of experience of working with adults with a range of mental health difficulties including stress & anxiety, depression, low self-esteem, loss & bereavement, relationship difficulties, trauma & abuse, interpersonal and personality difficulties. I also specialise in working with people with chronic pain, chronic fatigue and other health problems. Using my skills and experience I work in an integrative way to offer bespoke interventions to meet the specific needs of clients. For more information see my website: www.embrace-psych.co.uk
I am a clinical psychologist and CAT practitioner with over 21 years of experience of working with adults with a range of mental health difficulties including stress & anxiety, depression, low self-esteem, loss & bereavement, relationship difficulties, trauma & abuse, interpersonal and personality difficulties. I also specialise in working with people with chronic pain, chronic fatigue and other health problems. Using my skills and experience I work in an integrative way to offer bespoke interventions to meet the specific needs of clients. For more information see my website: www.embrace-psych.co.uk
01606 539466 View 01606 539466
Photo of Sally Addenbrook, Psychotherapist, UKCP Trainee
Sally Addenbrook
Psychotherapist, UKCP Trainee
Serves Area
Do you feel like you're barely hanging in there, confused, overwhelmed or paralysed by fear; fear of moving forwards, fear of change, fear of someone else, fear of failure, fear of not being good enough, fear of not knowing who you really are? Are you looking for a therapist where you can be 100% yourself, where you don't have to pretend you feel OK or are getting better? Someone who will listen to you and you feel comfortable talking to? I don't have all the answers because I'm not you, but I'm with you on your journey. I'm a clinical hypnotherapist using psychotherapy to help you find the strength to make lasting changes
Do you feel like you're barely hanging in there, confused, overwhelmed or paralysed by fear; fear of moving forwards, fear of change, fear of someone else, fear of failure, fear of not being good enough, fear of not knowing who you really are? Are you looking for a therapist where you can be 100% yourself, where you don't have to pretend you feel OK or are getting better? Someone who will listen to you and you feel comfortable talking to? I don't have all the answers because I'm not you, but I'm with you on your journey. I'm a clinical hypnotherapist using psychotherapy to help you find the strength to make lasting changes
01244 727968 View 01244 727968
Photo of Barry Ray Carruthers Accred - Beautiful Minds Talking Therapy Services, Psychotherapist, MBACP
Beautiful Minds Talking Therapy Services
Psychotherapist, MBACP
1 Endorsed
Serves Area
Beautiful Minds Talking Therapy Service has been providing counselling for many years. I understand that taking the first step can be scary and overwhelming. But if you can find the courage to take that first step, it can be life changing. Let me help you explore, understand, and unpick the things that are causing your difficulties in your life. I will help you to take back control of your life and take action to find solutions and resolutions that will empower you. I will help you gain a better understanding of your difficulties and develop your knowledge and awareness of your internal constructs. let me help you.
Beautiful Minds Talking Therapy Service has been providing counselling for many years. I understand that taking the first step can be scary and overwhelming. But if you can find the courage to take that first step, it can be life changing. Let me help you explore, understand, and unpick the things that are causing your difficulties in your life. I will help you to take back control of your life and take action to find solutions and resolutions that will empower you. I will help you gain a better understanding of your difficulties and develop your knowledge and awareness of your internal constructs. let me help you.
07403 250051 View 07403 250051
Photo of Jill Wasley Cbt Therapist, Psychotherapist, MBABCP
Jill Wasley Cbt Therapist
Psychotherapist, MBABCP
Serves Area
Asking for help is not easy but making that first step can feel really positive. I am an experienced BABCP accredited Cognitive Behavioural Therapist (CBT) and work to help people (including children and young people) who are experiencing a range of issues including generalised anxiety, social anxiety, OCD, and depression, as well as other difficulties. Cognitive Behavioural Therapy focuses on the links between thoughts, feelings and behaviours, especially the way that unhelpful thoughts lead to and maintain distressing feelings and behaviours that can be a problem for some people and their families.
Asking for help is not easy but making that first step can feel really positive. I am an experienced BABCP accredited Cognitive Behavioural Therapist (CBT) and work to help people (including children and young people) who are experiencing a range of issues including generalised anxiety, social anxiety, OCD, and depression, as well as other difficulties. Cognitive Behavioural Therapy focuses on the links between thoughts, feelings and behaviours, especially the way that unhelpful thoughts lead to and maintain distressing feelings and behaviours that can be a problem for some people and their families.
01244 662590 View 01244 662590
Photo of Neal Edwards - Counselling & Psychotherapy in Chester, Psychotherapist, MBACP
Counselling & Psychotherapy in Chester
Psychotherapist, MBACP
Serves Area
Making sense of life and our relationships can be challenging at times. We might find ourselves contemplating if we are causing ourselves unnecessary unhappiness, or if this is 'just the way things are'? Should I just keep sticking at 'it', or is it time for things to change? Might we be living our lives in 'survival mode' when we could be 'thriving' instead?
Making sense of life and our relationships can be challenging at times. We might find ourselves contemplating if we are causing ourselves unnecessary unhappiness, or if this is 'just the way things are'? Should I just keep sticking at 'it', or is it time for things to change? Might we be living our lives in 'survival mode' when we could be 'thriving' instead?
01244 667419 View 01244 667419
Photo of Pippa Brindle, Psychotherapist, PsychD, PNCPS Acc.
Pippa Brindle
Psychotherapist, PsychD, PNCPS Acc.
Serves Area
I am a person centred integrative psychotherapist working with a variety of issues including grief, anxiety disorders, neurodivergence, relationships, coping with change, and helping build self-esteem. I understand the first step to finding support for your emotional well being and can be a daunting one. I offer a free initial consultation to see if I may be the right therapist for you.
I am a person centred integrative psychotherapist working with a variety of issues including grief, anxiety disorders, neurodivergence, relationships, coping with change, and helping build self-esteem. I understand the first step to finding support for your emotional well being and can be a daunting one. I offer a free initial consultation to see if I may be the right therapist for you.
01606 668815 View 01606 668815
Photo of Karen Moore, Counsellor, MBACP Accred
Karen Moore
Counsellor, MBACP Accred
Serves Area
Waitlist for new clients
Are you finding life difficult and looking for help? Are you struggling with changes that you feel are out of your control? Counselling aims to help you deal with and overcome issues that are causing emotional pain or making you feel uncomfortable. Counselling also helps you build a deeper relationship with yourself and others.
Are you finding life difficult and looking for help? Are you struggling with changes that you feel are out of your control? Counselling aims to help you deal with and overcome issues that are causing emotional pain or making you feel uncomfortable. Counselling also helps you build a deeper relationship with yourself and others.
01270 433406 View 01270 433406
Photo of Leanne Astbury - Cognitive Behavioural Therapist, Psychotherapist, MBACP
Cognitive Behavioural Therapist
Psychotherapist, MBACP
Serves Area
A therapist who looks beyond your symptoms, guiding you to uncover the real reasons behind your struggles. Welcome I'm Leanne Astbury, a psychotherapist dedicated to guiding you beyond symptom management to uncover and address the real reasons behind your challenges. Drawing from my personal experiences and years of helping others, I've come to understand that issues like anxiety, depression, perfectionism, overthinking, worry, and stress are not the real problems—they're just symptoms. To achieve lasting results, we must focus on addressing the root causes, not just treating these symptoms.
A therapist who looks beyond your symptoms, guiding you to uncover the real reasons behind your struggles. Welcome I'm Leanne Astbury, a psychotherapist dedicated to guiding you beyond symptom management to uncover and address the real reasons behind your challenges. Drawing from my personal experiences and years of helping others, I've come to understand that issues like anxiety, depression, perfectionism, overthinking, worry, and stress are not the real problems—they're just symptoms. To achieve lasting results, we must focus on addressing the root causes, not just treating these symptoms.
01606 532687 View 01606 532687

More Therapists Nearby

Photo of Andrea Gray, Psychotherapist, MSc, MBABCP
Andrea Gray
Psychotherapist, MSc, MBABCP
2 Endorsed
Chester CH1
Hi my name is Andrea. I have over 17yrs experience of working within the mental health field. As a CBT therapist and EMDR practitioner I have experience of working with anxiety based difficulties, such as generalised anxiety, social anxiety, OCD, PTSD, health anxiety; and depressive presentations. I have a special interest in low self esteem and trauma. I provide a warm, compassionate and safe space to work towards change and improvements in your mental well-being. If you are ready to engage in therapy to work towards clear goals and areas of change, please get in touch.
Hi my name is Andrea. I have over 17yrs experience of working within the mental health field. As a CBT therapist and EMDR practitioner I have experience of working with anxiety based difficulties, such as generalised anxiety, social anxiety, OCD, PTSD, health anxiety; and depressive presentations. I have a special interest in low self esteem and trauma. I provide a warm, compassionate and safe space to work towards change and improvements in your mental well-being. If you are ready to engage in therapy to work towards clear goals and areas of change, please get in touch.
View
Photo of Victoria Livesey, Psychotherapist, MSc, MBACP
Victoria Livesey
Psychotherapist, MSc, MBACP
1 Endorsed
Online Only
I know that taking the first step toward therapy can feel daunting. It’s completely natural to experience anxiety, hesitation, or even fear when considering change. These feelings are valid and often arise when we’re standing at the edge of something new and meaningful. Whatever you are navigating it’s okay to feel overwhelmed or unsure. My experience includes working within the NHS, where I supported individuals facing complex mental and physical health challenges in high pressure situations or in crisis. I also have experience working as a mentor with individuals navigating neurodiversity.
I know that taking the first step toward therapy can feel daunting. It’s completely natural to experience anxiety, hesitation, or even fear when considering change. These feelings are valid and often arise when we’re standing at the edge of something new and meaningful. Whatever you are navigating it’s okay to feel overwhelmed or unsure. My experience includes working within the NHS, where I supported individuals facing complex mental and physical health challenges in high pressure situations or in crisis. I also have experience working as a mentor with individuals navigating neurodiversity.
01925 938929 View 01925 938929
Photo of Janine Lee Norris, Psychotherapist, MSc, MBABCP
Janine Lee Norris
Psychotherapist, MSc, MBABCP
1 Endorsed
Hello, I'm Janine, a dedicated trauma-informed therapist. BABCP Accredited Cognitive Behavioural Psychotherapist with over 10 years of experience helping people overcome trauma. I can successfully treat; anxiety, depression, OCD, PTSD, phobias, and other mental health problems so that you can enjoy life again as you once did.
Hello, I'm Janine, a dedicated trauma-informed therapist. BABCP Accredited Cognitive Behavioural Psychotherapist with over 10 years of experience helping people overcome trauma. I can successfully treat; anxiety, depression, OCD, PTSD, phobias, and other mental health problems so that you can enjoy life again as you once did.
01925 598713 View 01925 598713
Photo of Catherine Ryan, Counsellor, MBACP
Catherine Ryan
Counsellor, MBACP
Serves Area
I am a qualified Person Centred therapist supporting adults and young people over 18 who are experiencing difficulties with their mental health. I hold a psychology degree specialising in neurodiversity and anxiety. I offer sessions face to face, online, and over the telephone, creating a confidential space for you to allow yourself to put your trust in me, so that I can support you to explore and work through issues that are impacting on your mental health. I am a qualified Primary School teacher, practicing therapeutic work alongside my teaching. I undertake counselling for two Women’s charities based in Merseyside.
I am a qualified Person Centred therapist supporting adults and young people over 18 who are experiencing difficulties with their mental health. I hold a psychology degree specialising in neurodiversity and anxiety. I offer sessions face to face, online, and over the telephone, creating a confidential space for you to allow yourself to put your trust in me, so that I can support you to explore and work through issues that are impacting on your mental health. I am a qualified Primary School teacher, practicing therapeutic work alongside my teaching. I undertake counselling for two Women’s charities based in Merseyside.
01704 337906 View 01704 337906

How does your Counsellor compare?

Number of Counsellors in CW6

10+

Average cost per session

£65

Counsellors in CW6 who prioritize treating:

100% Depression
100% Anxiety
100% Self Esteem
94% Stress
75% Trauma and PTSD
69% Bereavement
69% Coping Skills

Average years in practice

10 Years

Top 3 insurances accepted

57% Other
43% Aviva
43% AXA PPP

How Counsellors in CW6 see their clients

100% In Person and Online

Gender breakdown

74% Female
26% Male
FAQs - About Therapy and Counselling

How can I find a therapist in CW6?

Search for nearby therapists or counsellors by inputting your city, postcode, or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or postcode into the search bar.

Learn more about how to find a therapist

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

Counsellors and Psychotherapists listed in the directory are members of the main professional associations, mainly the British Association for Counselling and Psychotherapy (BACP) and the UK Council for Psychotherapy (UKCP). Most Psychologists in the directory are accredited members of the British Psychological Society (BPS) and/or are registered in the Health and Care Professions Council (HPCP).

Providers whose professional membership or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Given that professional memberships are not a statutory requirement for psychotherapists and counsellors in the UK, certain qualified professionals or organisations may choose not to maintain such memberships despite possessing the necessary qualifications. They may be selectively included without the “Verified” seal.

What’s the difference between a psychologist, a therapist, and a counsellor?

Counsellors, psychotherapists and psychologists can all provide counselling or talking therapy and have credentials and experience that enable them to do so in the UK. Psychologists have earned a degree in psychology and many are members of the British Psychological Society (BPS) and have completed a postgraduate qualification in a specialism. Counsellors and Psychotherapists are not required to have a psychology degree, but to belong to a professional organisation such as the BACP or UKCP, they are required to have completed a training course as well as clinical and supervision hours.

What type of therapy is right for me?

The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.

How much does therapy cost?

The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the UK could be between £30 - £60 when seeing a counsellor and £60 - £150 and up when seeing a clinical psychologist. If you have private insurance, your plan may cover some if not all of your sessions. You should contact your insurance provider to determine if they provide coverage for therapy sessions and to determine what, if any, requirements they might have in order for your sessions to be covered, such as a referral from your GP or medical specialist.

What are more affordable or low cost therapy solutions?

Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.

If you are struggling to access therapy due to budget constraints, you could also consider public funded mental health services. The NHS Talking therapies programme offers free of charge counselling for common mental health problems like anxiety and depression. The service is available to anyone registered with a GP, though you do not necessarily need to be referred by your GP and can refer yourself directly to a Talking therapies service. The service will provide different solutions, including group and individual therapy, for a limited number of sessions which are generally up to six.

Is online therapy cheaper than in-person therapy?

Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.

Is online therapy a good option?

Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your postcode.

Are therapy sessions confidential?

Therapists who are part of a professional organisation such as the BACP, the UKCP, or BPS are bound by an ethical framework that requires them to uphold a confidentiality agreement. Confidentiality is a crucial part of the therapeutic relationship and only under specific circumstances, such as when there has been participation in a criminal act or act of terror, or if there is potential or known harm to the client or others, will a therapist be obligated to break the agreement. These exceptions to the confidentiality agreement are usually discussed during the initial consultation.